“…First, we thank Gungel et al 1 for their comprehensive report of a purtscher-like retinopathy subsequent to contralateral endonasal dacryo-cysto-rhinostomy, treated with intravitreal injection of tissue plasminogen activator. The authors observed characteristic features of purtscher-like retinopathy including purtscher flecken, cotton wool spots, and superficial retinal hemorrhages.…”